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Results for “Medical Liability”

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At least 559 records · Page 31Linked to original sources
PubMed1987

Medicaid program; identification of third party liability resources for medical assistance--HCFA. Final rule.

This final rule revises regulations governing a Medicaid State agency's responsibility to take reasonable measures to determine the legal liability of third parties to pay for services under the plan. The final regulations require that the agency at a minimum: Obtain certain health insurance information for Medicaid applicants or recipients during the initial application and redetermination processes; conduct, or in some cases attempt to secure agreements to conduct, certain types of data exchanges with specific State and Federal agencies, or in some cases alternate sources, to identify legally liable third parties; conduct diagnosis and trauma code edits to identify third party resources; and follow other specified procedures regarding frequency of conducting the above activities, follow up, safeguarding information obtained and exchanged, and reporting and reimbursement requirements. The objectives of these requirements are to improve State agency performance in the identification of third party resources and to assure the timely incorporation of this resource information into the third party claims payment processing system. This regulation also makes minor technical revisions to the Income and Eligibility Verification System final rule published in the Federal Register on February 28, 1986.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1980

Medical research: civil liability and compensation for personal injury--a discussion paper. Ciba Foundation Study Group.

The Ciba Foundation Study Group has considered the most appropriate means of compensating participants (or their relatives) for injuries received as a consequence of medical research. The group recognises that injury may occur despite the exercise of the highest degree of skill and care by the investigator and that compensation through an action for negligence is therefore not available. At present injured participants have to rely on ex gratia payments. The group considers this unsatisfactory and recommends the establishment of a centrally operated fund with authority to provide compensation on a no-fault basis. These recommendations do not diminish the rights of the participant to bring an action in the event of negligence on the part of the investigator or an action under the law relating to product liability against the manufacturers of defective equipment or drugs.

Drug Evaluation↗